Individual provider · Type 1 NPI

Kathleen Jo Hagenauer, APN

Critical Care Neonatal Nurse Practitioner · Peoria, IL

NPI number 1053649574 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Fax (309) 655-7480

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner Primary 363LN0005X209007387 (IL)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1053649574

Kathleen Jo Hagenauer, APN's National Provider Identifier is 1053649574, issued on Nov 20, 2009. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Peoria, IL. The record was last updated on Jul 12, 2021.